RADHA KISHAN ADUSUMILLI – Nephrology Physician, NPI 1417441957

RADHA KISHAN ADUSUMILLI is a healthcare provider. based in San antonio, Texas. specializing in INTERNAL MEDICINE. They hold a License No. U1849 (TX). The NPI Number for RADHA KISHAN ADUSUMILLI is 1417441957

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
RADHA KISHAN ADUSUMILLI
NPI
1417441957
Phone
(210) 614-1231
Address
16620 SAN PEDRO AVE STE 300
Enumeration Date
19 June 2018
Last Update Date
21 March 2023

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8307730212
Graduation Year
2021 (5 years ago)
PAC ID
8628327228
Group Practice PAC ID
8729070628
Professional Enrollment ID
I20230302000031
Address ID
TX788525891EA3103XSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

13,290 INTERNAL MEDICINE in TX

Provider Addresses for RADHA KISHAN ADUSUMILLI

  • 16620 SAN PEDRO AVE STE 300

    SAN ANTONIO, TX 782322679

    Phone: (210) 614-1231

    Fax: (210) 809-4989

    Type: Mailing

  • 3103 MEGAN ST

    EAGLE PASS, TX 788525891

    Phone: (830) 773-0212

    Fax: (830) 773-0212

    Type: Location

  • 880, Ironwood Drive, Rochester, Oakland County, Michigan, 48307, United States

    ROCHESTER, MI 483071302

    Phone: (240) 614-1669

    Type: Mailing

  • Ascension Providence Rochester Hospital, 1101, West University Drive, Rochester Hills, Oakland County, Michigan, 48307, United States

    ROCHESTER HILLS, MI 483071863

    Phone: (240) 614-1669

    Type: Location

  • 7703 Floyd Curl Dr

    San Antonio, TX 782293901

    Phone: (210) 567-1767

    Type: Location

  • 4502 Medical Dr

    San Antonio, TX 782294402

    Phone: (210) 358-4000

    Type: Location

  • 1101 W University Dr

    Rochester Hills, MI 483071863

    Phone: (240) 614-1669

    Type: Location

  • 46284 JONATHAN CIR APT 105

    SHELBY TOWNSHIP, MI 483173862

    Phone: (240) 614-1669

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $13.

Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.

Last reported payment date: 2024-07-24 • Largest payer in this snapshot: Ardelyx, Inc. ($13).

Total Amount

$13

General + Research + Ownership

Payments

1

Total payment records

General Amount

$13

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-24

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Ardelyx, Inc.$13
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-03-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230302000031IInternal MedicineTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes15431$0
36415Insertion of needle into vein for collection of blood sample4336$0
90935Hemodialysis procedure with physician evaluation2011$0
99213Established patient office or other outpatient visit, 20-29 minutes1919$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 78232)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729070628View full group profile
NameSpecialtyState
N E P H R O L O G YTX
N E P H R O L O G YTX
N E P H R O L O G YTX
N E P H R O L O G YTX
Hospitalist, Internal MedicineTX
N E P H R O L O G YTX
N E P H R O L O G YTX
Nephrology, Internal MedicineTX
N E P H R O L O G YTX
-TX

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Frequently asked questions

How do I look up RADHA KISHAN ADUSUMILLI by NPI?
Use NPI 1417441957 when you need to reference RADHA KISHAN ADUSUMILLI in forms, claims, or directories.
Is RADHA KISHAN ADUSUMILLI's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does RADHA KISHAN ADUSUMILLI work in?
You can think of RADHA KISHAN ADUSUMILLI as practicing within Nephrology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for RADHA KISHAN ADUSUMILLI?
The page summarizes San Antonio, Texas for RADHA KISHAN ADUSUMILLI; expand the address list for detail.
Is RADHA KISHAN ADUSUMILLI a real provider?
This page reflects official NPPES data for NPI 1417441957. Always confirm identity and privileges with the practice and licensing boards.

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